| Regimental number | 3779 |
| Place of birth | Singleton New South Wales |
| Religion | Methodist |
| Occupation | Cleaner |
| Address | South Singleton, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, William Henry, Munro Street, South Singleton, New South Wales |
| Enlistment date | 20 August 1917 |
| Date of enlistment from Nominal Roll | 17 August 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Regimental number from Nominal Roll | 3779A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 22 August 1919 |
